Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,330.65 / $4,327.25 / $14,482.00	Facility		$2,330.65	$4,327.25	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,035.68 / $2,330.65 / $6,336.11	Professional		$2,035.68	$2,330.65	$6,336.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,538.00 / $10,908.00 / $18,360.00	Facility		$6,538.00	$10,908.00	$18,360.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,105.46 / $4,780.82 / $12,334.81	Professional		$2,105.46	$4,780.82	$12,334.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,408.52 / $6,320.29 / $9,695.48	Facility		$5,408.52	$6,320.29	$9,695.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,537.38 / $7,205.48 / $8,668.79	Professional		$2,537.38	$7,205.48	$8,668.79
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,123.98 / $2,738.24 / $4,200.00	Facility		$2,123.98	$2,738.24	$4,200.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,115.54 / $2,928.93 / $5,769.66	Facility		$2,115.54	$2,928.93	$5,769.66
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,353.40 / $5,290.16 / $16,020.08	Professional		$2,353.40	$5,290.16	$16,020.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $209.83 / $1,942.48 / $4,811.93	Professional		$209.83	$1,942.48	$4,811.93
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2,123.98 / $2,738.24 / $4,200.00	Facility		$2,123.98	$2,738.24	$4,200.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,003.80 / $5,339.73 / $8,769.79	Professional		$4,003.80	$5,339.73	$8,769.79
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,543.44 / $40,870.72 / $40,870.72	Facility		$2,543.44	$40,870.72	$40,870.72
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,753.69 / $10,498.50 / $16,020.08	Professional		$3,753.69	$10,498.50	$16,020.08
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7,777.67 / $7,777.67 / $7,777.67	Professional		$7,777.67	$7,777.67	$7,777.67
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7,358.82 / $10,584.59 / $10,584.59	Professional		$7,358.82	$10,584.59	$10,584.59
United Facility/Professional Facility Modifier Low / Median / High Price $2,203.00 / $6,032.00 / $19,003.00	Facility		$2,203.00	$6,032.00	$19,003.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,309.67 / $4,431.89 / $9,474.90	Professional		$2,309.67	$4,431.89	$9,474.90